HomeMy WebLinkAboutD Hall 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
LUCUE
c= Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: ' 00.4)P l 54��-
Property Tax ID #: �, `j�tr 6/0 0 / 0'-,3,000 tj
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical as Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ IO-0
Generator
Sq. Ft. of First Floor:
Residential
Lot No. —
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: -
CONTRACTOR:
Name i 5
Name:
Company: I T 21 1
Address: f,!• Sd-+
City: Staten
L}'Gl
Address: ` a
n
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Zip Coden. Fax:
City1 State:
J
Phone Nc,; r -
/
Zip Coded Fax•
E-Mail:
Phone N 5
E-Mail
Fill in fee simple Title Holder on next page ( if different
State or County License C 2q 701
from the Owner listed above)
It value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.